FAMILY DENTAL CARE OF DIMONDALE, PC
NPI: 1629088943
· DIMONDALE, MI 48821
· General Practice Dentistry
· NPI assigned 08/09/2006
$191.59
Total Medicaid Paid
Provider Details
| Authorized Official | BAIR, TIMOTHY (SECRETARY/TREASURER) |
| NPI Enumeration Date | 08/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
27 |
$0.00 |
| 2022 |
56 |
$0.00 |
| 2023 |
12 |
$191.59 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$191.59 |
| D1999 |
|
83 |
75 |
$0.00 |